Timeless Beauty Survey

What do you use for your face?
 Soap 
 Facial wash 
 None 
Have you ever had a facial?
 Yes 
 No 
Do you use sunblock
when going out?
 Yes 
 No 
Do you use moisturizer?
 Yes 
 No 
Given a chance to treat
anything in your face,
which would you choose
to have treated?
 Dark spots 
 Fine lines & wrinkles 
 Pimples 
 Eyebags 
 Uneven skin tone 
 Pimple scars 
 Others 
 None 
For Others, please specify:
Name *
Prefix
First *
Last *
Suffix
Age
Mobile number *
Email
Please indicate preferred date of the pampering session: *

MM
/
DD
/
YYYY
We are open Mondays-Saturdays
Preferred Time *
Preferred Venue *
 Ortigas Lounge 
 Makati Lounge 
*exact locations will be sent via SMS
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